Department of Sociology, McGill University, Canada; Division of Social Science, New York University Abu Dhabi, United Arab Emirates.
Department of Sociology, Stanford University, Stanford, CA, 94305, USA.
Soc Sci Med. 2024 Nov;360:117348. doi: 10.1016/j.socscimed.2024.117348. Epub 2024 Sep 14.
This study examines the relationship between community violence and obstetric violence in Mexico, where the so-called "War on Drugs" has led to sustained high levels of homicides and one-third of pregnant people report experiencing abusive treatment from healthcare providers during childbirth. We combine unique nationally representative survey data on experiences of obstetric violence for births that occurred between 2016 and 2021 with administrative homicide data at the month-municipality level. Using fixed effects models, we investigate how different manifestations of obstetric violence relate to community violence in the short-, medium-, and long-term. Results suggest that the intensity of community violence matters for obstetric violence. Specifically, we find that sustained high-intensity homicidal violence is associated with an increased risk of mistreatment at childbirth, particularly in the form of physical abuse and non-consensual care. Associations are stronger among adolescent, low-educated, and urban respondents. Addressing obstetric violence requires recognising the structural role of sustained high-intensity community violence and the normalisation of violent behaviour that exposure to such environmental stressors may create.
这项研究考察了墨西哥社区暴力与产科暴力之间的关系，在墨西哥，所谓的“禁毒战争”导致持续的高杀人率，三分之一的孕妇在分娩期间报告称受到医疗保健提供者的虐待。我们将 2016 年至 2021 年间发生的分娩时经历产科暴力的独特全国代表性调查数据与月度-市级行政杀人数据相结合。使用固定效应模型，我们调查了不同形式的产科暴力在短期、中期和长期内与社区暴力的关系。结果表明，社区暴力的强度对产科暴力很重要。具体而言，我们发现持续高强度的杀人暴力与分娩时受虐待的风险增加有关，特别是在身体虐待和非自愿护理方面。这些关联在青少年、受教育程度低和城市受访者中更为强烈。解决产科暴力问题需要认识到持续高强度社区暴力的结构性作用，以及接触这种环境压力源可能产生的暴力行为正常化。
